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General NPI Number Information
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NPI Number | 1770177461
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Entity Type | Organization
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Legal Business Name | THERAPY SERVICES OF EAST LANSING
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Dates
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Enumeration Date | 02/24/2021
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1750 E GRAND RIVER AVE STE 100
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City | EAST LANSING
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State | MI
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Zip | 48823-4958
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Country | US
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Telephone | 517-881-5456
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Fax | 844-927-4501
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Provider Business Mailing Address
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Address Line | 1750 E GRAND RIVER AVE STE 100
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City | EAST LANSING
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State | MI
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Zip | 48823-4958
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Country | US
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Telephone | 517-881-5456
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Fax | 844-927-4501
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH THERAPIST
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Name | MR. MATTHEW REMES
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Credential | LMSW
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Telephone | 517-881-5456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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